AmbuFlex is developed primarily for use in group of patients with chronic diseases with many visits in outpatient clinics and where PRO is a central source of information to evaluate the patient’s present state.
It will therefore be relevant to consider the following aspects, before initiating a new AmbuFlex-project:
1. What would we like to know about our patients – and how should the information be applied in the clinic?
2. Is AmbuFlex suitable for the patient group in question?
3. Who will be in charge of the implementation?
Regarding 1. Questionnaire and design of AmbuFlex
The questionnaire is essential in AmbuFlex. The clinicians are experts within their field, and consequently, they know which questions and answers are relevant to assess the state of the patient. The questionnaire is developed in close cooperation between clinicians, patients and AmbuFlex staff.
PRO data can be applied in the clinic in different ways. Should the patients answer the questionnaire at home so it can be used to assess their needs of a physical consultation and in this way function as clinical decision support in terms of allocating which patients should be seen in the outpatient clinic – or alternatively, should PRO data be used to optimise the consultation before which the patient could answer the questionnaire in the waiting room?
Regarding 2. Patient groups suited for AmbuFlex
The patient groups suited for AmbuFlex are characterised by:
• Comprehensive outpatient treatment with many contacts
• The questionnaire answers provided by the patient should be essential for the clinical assessment of the state of the patient
• A clinical examination must not be necessary to assess the state of the patient whereas laboratory data such as blood sample results can be applied by means of look-ups in electronic patient or health records e.g. Midt-EPJ.
Regarding 3. What does the implementation of AmbuFlex require from the department?
If a questionnaire has not already been developed and tested by the patient group, a successful implementation and use of AmbuFlex require that some of the potential users will participate in the development of the questionnaire and in the trial period during which the systems should be adjusted to the individual department and its reorganisation. As with many other projects, the implementation of AmbuFlex requires support from the management.